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Old 04-24-2014
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Default How reliable is Khans Medical Ethics?

Hi guys, i bought the 2013 edition of Khans medical ethics to improve this area which is on the lower side on my NBMEs
however i find it somehow controversial in some of the answers, like TOO tricky, too insane answers sometimes hahahaha, is this book reliable? has anyone used it for step1 and see that it did MAKE a difference. please someone help.
also i read conrads. but i wanted to reinforce with another book.

opinions will be more than welcome
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Old 04-25-2014
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so no one has read this book?
please guys.. i just want to make sure that im relying on a good book. my test is in 3 weeks.
just want to hear a good word on it. thanks
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Old 04-25-2014
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I read the book. I heard the author basically just rehashed scenarios from old nbme's, so it should be reliable.
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Quote:
Originally Posted by cylack View Post
I read the book. I heard the author basically just rehashed scenarios from old nbme's, so it should be reliable.
thanks for replying, as i see not too many people read the book that is why i wanted opinions, i heard the same stuff that it overprepares you for ethics that is why its answers are formulated that way, ill continue reading it, lets see how my step1 goes, thanks again
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Old 04-25-2014
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Man there are people here who read it but just not replying. I read it too. It's good. few questions are controversial as u said then some zones are no go areas becos it differs from state to state. But in all I think it's a good book.
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Old 04-25-2014
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Quote:
Originally Posted by nsesereso View Post
Man there are people here who read it but just not replying. I read it too. It's good. few questions are controversial as u said then some zones are no go areas becos it differs from state to state. But in all I think it's a good book.
you are definitely on my page nsesereso, ive been on this forum since last year and last year was so different! people were more helpful, even the forum administrators commented, now ZERO my friend, i havent seen replies from administrators since 2014 and sometimes u need their words cause they have more experience,
anyways, thats my point of view, hopefully soon goes back to the old great forum i remember

by the way thanks for ur reply also, good luck w/ your prep
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Old 04-25-2014
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Default Good prep

I've read it too - I think it's good prep. Q's are similar format to UWorld and NBME and seems to go a little deeper than Fisher. Good explanations, easy read, overall recommended.

BRS on the other hand....
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Quote:
Originally Posted by orthores2be View Post
I've read it too - I think it's good prep. Q's are similar format to UWorld and NBME and seems to go a little deeper than Fisher. Good explanations, easy read, overall recommended.

BRS on the other hand....
hii thanks for ur reply
what did u mean with BRS??? I HAve it too.. recommend it??? im very bad at ethics, like REAL bad, thats why im so desperate trying to improve this.
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Arrow One example

been reviewing khans medical cases (pg35) and found an almost EXACT question on uworld (qID: 783) where mother and child have been in a car accident and lost lot of blood, then dad comes and says that they are jehovas witnesses, what should you do??

A) Given that this is a life threatening emergency, transfuse both patients as
needed
B) Transfuse the child but allow the mother to die
C) Transfuse the mother but allow the child to die
D) Respect the religious wishes and do not transfuse either patient

khans says is B.
while uworld says is A.
see my "controversial" point hahahaha, aaarrrgghhh this is frustating.
also the wording makes me laugh "allow the mother to die" WTF??! hahahaha bit too forte.
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Old 04-25-2014
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Quote:
Originally Posted by drpisho View Post
been reviewing khans medical cases (pg35) and found an almost EXACT question on uworld (qID: 783) where mother and child have been in a car accident and lost lot of blood, then dad comes and says that they are jehovas witnesses, what should you do??

A) Given that this is a life threatening emergency, transfuse both patients as
needed
B) Transfuse the child but allow the mother to die
C) Transfuse the mother but allow the child to die
D) Respect the religious wishes and do not transfuse either patient

khans says is B.
while uworld says is A.
see my "controversial" point hahahaha, aaarrrgghhh this is frustating.
also the wording makes me laugh "allow the mother to die" WTF??! hahahaha bit too forte.

it should still be B IMO, the mother is a jehova witness so you have to respect her choice? (but again the prob being its the dad who is telling you that not the mum directly so it can be A too?) as for the kid he should get the blood.
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Old 04-26-2014
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Quote:
Originally Posted by dr_kg View Post
it should still be B IMO, the mother is a jehova witness so you have to respect her choice? (but again the prob being its the dad who is telling you that not the mum directly so it can be A too?) as for the kid he should get the blood.
i totally agree. i answered B in both cause in conrads also its stated that ALWAYS SAVE A MINOR ON EMERGENCIES, as for the adult he can choose whatever he wants to do with his/her body (right of autonomy)
but in UWORLD it shows a good point for us to analyze, its stated in other words "what about if the mother really wanted to live and changed her mind about the transfussion??" so meant that you shouldve waited for the mother to make a DIRECT order to you.

its actually true, in my practice once i met a jehovas witness inpatient that had Hb 5 (the only person ive met ALIVE with such low hb) at the end he changed his mind and got transfused cause he wanted to live!
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Last edited by drpisho; 04-26-2014 at 05:15 AM.
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Old 04-26-2014
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i dont remember exactly but i think in uworld the question was phrased as the dad says on the phone and not in person whereas here he is there in person telling the doctor so there is no doubt in this case
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Old 04-26-2014
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Default BRS

That same question is on page 39 of Khans for me, but I just got the book a few weeks ago, so maybe mine is more updated? If so that's good bc it means new questions are being added. Here's what mine says:

A 12 yo child and his mother are in a car accident. The child is found to have a liver laceration and is hypotensive. The mother has a pelvic fracture and appears to have internal bleeding. Both require blood transfusion to survive. The husband arrives and presents cards indicating both are jehova's witnesses and its against religion to receive blood. Choices are "tranfuse the child but not the mother" and "transfuse the mother but not the child"

Different from yours - Fisher never updates his books so new things aren't added. BRS was not organized well and didn't add any concepts that the other books didn't cover. I'd read Fisher and Khans, especially bc you can do each one in like two days.
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Quote:
Originally Posted by orthores2be View Post
That same question is on page 39 of Khans for me, but I just got the book a few weeks ago, so maybe mine is more updated? If so that's good bc it means new questions are being added. Here's what mine says:

A 12 yo child and his mother are in a car accident. The child is found to have a liver laceration and is hypotensive. The mother has a pelvic fracture and appears to have internal bleeding. Both require blood transfusion to survive. The husband arrives and presents cards indicating both are jehova's witnesses and its against religion to receive blood. Choices are "tranfuse the child but not the mother" and "transfuse the mother but not the child"

Different from yours - Fisher never updates his books so new things aren't added. BRS was not organized well and didn't add any concepts that the other books didn't cover. I'd read Fisher and Khans, especially bc you can do each one in like two days.

what is the answer in our khans book??
my book says ANSWER B.transfer the child but let the mother die
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Default Answer

Same answer in mine....b - "transfuse the child but not the mother"
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Default explanation

Explanation: It's clear the mother is a witness bc the father has proof - which is why it's okay to withhold
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Old 04-28-2014
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Quote:
Originally Posted by doctor drake View Post
i dont remember exactly but i think in uworld the question was phrased as the dad says on the phone and not in person whereas here he is there in person telling the doctor so there is no doubt in this case
indeed you are right, i came to this conclusion for step1:

If you DONT SEE PHYSICAL CARD OF JEHOVAS WITNESS TRANSFUSE!! even if spouse, mother, father tells you verbally, over the phone, without a card is not official. in uworld it was over the phone and they didnt carry cards, so NOT official,
in Khans the husband showed the CARDS of each member of the family, so it WAS OFFICIAL.
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